|Table of Contents|

Meta-analysis of effect of Da Vinci robot and laparoscopic total mesorectal excision on urinary and reproductive function

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2025 06
Page:
946-954
Research Field:
Publishing date:

Info

Title:
Meta-analysis of effect of Da Vinci robot and laparoscopic total mesorectal excision on urinary and reproductive function
Author(s):
LI Yongbai; ZHANG Dongxing; ZHANG Zhongmin; WANG Runhua; LUO Hui; GENG Xinglong; YANG Xiaofei
Department of Gastrointestinal Surgery,Guizhou Provincial People's Hospital,Guizhou Guiyang 550000,China.
Keywords:
laparoscopy; rectal surgery; robot; urinary function; sexual function
PACS:
R735.3+7
DOI:
10.3969/j.issn.1672-4992.2025.06.009
Abstract:
Objective:To analyze the difference of urinary and reproductive function between Da Vinci robot and laparoscopic total mesorectal excision for rectal cancer.Methods:A computer-based online databases,including Cochrane Library,MEDLINE,PubMed in English,and Wanfang,CNKI and VIP Chinese journal net in Chinese were used to identify relevant literature on urinary and reproductive function after robotic and laparoscopic surgery for rectal cancer.The reference lists of the retrieved studies were also hand-searched for additional articles.The search date was limited to the period from the database establishment to February 29,2024.Two researchers screened the literatures according to the inclusion and exclusion criteria,and evaluated the quality of literature and extracted the data.Selective trials were analyzed by the Review Manager 5 software.Results:Finally,26 clinical studies were included,with a total of 5 429 patients,including 2 709 cases of Da Vinci robotic rectal cancer surgery (robotic group) and 2 720 cases of laparoscopic rectal cancer surgery (laparoscopic group).Statistical analysis showed that the incidence of urinary retention within 30 days after surgery in the robotic group was lower than that in the laparoscopic group,and the difference was statistically significant ［RR=0.78,95%CI (0.61,0.99),P=0.04］.There was no significant difference in the incidence of urinary retention between the robotic group and the laparoscopic group over 30 days after surgery ［RR=0.65,95%CI (0.21,2.05),P=0.46］.There was no significant difference in the incidence of erectile dysfunction between the robotic group and the laparoscopic group at 6 months after surgery ［RR=0.77,95%CI (0.55,1.07),P=0.12］.At 3 months after surgery,the IPSS score of the robotic group was lower than that of the laparoscopic group,and the difference was statistically significant ［MD=-1.58,95%CI (-3.10,-0.05),P=0.04］.At 12 months after surgery,the IPSS scores of the two groups were decreased gradually,which were lower than those before surgery.The IPSS score of the robotic group was lower than that of the laparoscopic group,and the difference was statistically significant ［MD=-1.26,95%CI (-2.09,-0.44),P=0.003］.At 12 months after surgery,the IIEF-5 score of the robotic group was higher than that of the laparoscopic group,and the difference was statistically significant ［MD=4.06,95%CI (2.38,5.74,P＜0.000 01］.At 12 months after surgery,the score of FSFI-15 in the robotic group was higher than that in the laparoscopic group,and the difference was not statistically significant ［MD=-0.59,95%CI (-2.00,0.82),P=0.41］.Conclusion:Compared with laparoscopic surgery,Da Vinci robot has certain advantages in the protection of urinary and reproductive function in rectal cancer patients after surgery.

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Memo

Memo:
National Natural Science Foundation of China(No.82303337);国家自然科学基金资助项目（编号：82303337）
Last Update: 1900-01-01